Individual
MS. SANDRA LYNN JOHANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
34090 ALMOND RD, GURNEE, IL 60031-5310
(184) 759-9441
(847) 599-4300
Mailing address
2603 ELIM AVE, ZION, IL 60099-2611
(184) 746-3496
(847) 599-4300
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
IL
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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